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Editorial
February 2018

Understanding How to Improve Quality and Value for Patients With Acute Myocardial Infarction

Author Affiliations
  • 1Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston
  • 2The Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
JAMA Cardiol. 2018;3(2):102-103. doi:10.1001/jamacardio.2017.4779

Although the United States lags behind comparable nations in many health measures, mortality following acute myocardial infarction (AMI) is lower in the United States than in many other developed countries, including Finland, New Zealand, France, the United Kingdom, Switzerland, Japan, and Germany.1 In fact, of every 20 patients admitted to a US hospital with AMI, 19 are still alive after 1 month, which is better than 27 of the 33 other countries in the Organization for Economic Cooperation and Development.1 Despite this, both mortality and angina burden for patients after AMI vary substantially among American hospitals.2 Furthermore, even comparable types of hospitals differ substantially in the cost of care for AMI.3

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